NPI 1144546771 · live from the CMS NPI Registry
Evan Grove, MD
Internal Medicine, Clinical Cardiac Electrophysiology in Lebanon, NH. National Provider Identifier 1144546771, active.
NPI record
| NPI | 1144546771 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Clinical Cardiac Electrophysiology 207RC0001X |
| Practice location | 1 Medical Center Dr, Lebanon, NH 03756 |
| Practice phone | 603-650-6247 |
| Enumerated | April 7, 2010 |
| Last updated | January 2, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 18517 (NH) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 042.0013938 (VT) |
| Internal Medicine, Clinical Cardiac Electrophysiology primary | 207RC0001X | 18517 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.